| NPI | 1649314303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MN 59204) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI 14257) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-12-07 |