| NPI | 1659539088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 247911) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 247911) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2018-12-05 |