| NPI | 1639379811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OR md 167611) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD417696) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2015-07-21 |