| NPI | 1619295383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NE 31484) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN14707) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2019-04-02 |