NPI | 1649629486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MD D0103855) |
Additional Taxonomies | 208600000X Surgery (Licence: TX V4136) |
2086S0102X Surgery, Surgical Critical Care (Licence: TX V4136) | |
Enumeration Date | 2016-06-10 |
Last Update Date | 2025-07-21 |