| NPI | 1639286123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX M7952) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NM MD2004-0043) |
| 208600000X Surgery (Licence: TX M7952) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-08-14 |