| NPI | 1629497037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A192022) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: UT 12229861-1205) |
| 208600000X Surgery (Licence: UT 12229861-1205) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: ID MC-2152) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-11-20 |