| NPI | 1649624461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301512547) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301512547) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-09-23 |