| NPI | 1649513318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2022-0387) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CO 0064500) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NM MD2022-0387) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2024-10-23 |