| NPI | 1669885281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD459848) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT207305) |
| 2086S0102X Surgery Surgical Critical Care (Licence: IN 01089733A) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-10-12 |