| NPI | 1649665738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD478851) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: WI 101569) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MF478851) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-04-30 |