| NPI | 1679702393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301094856) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301094856) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2023-11-16 |