| NPI | 1679800924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: SD 10473) |
| Additional Taxonomies | 208600000X Surgery (Licence: SD 10473) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2024-12-09 |