| NPI | 1639327612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 69191) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 55406) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: KY 55406) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TN 69191) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2023-11-21 |