| NPI | 1679968226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301506537) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: OK 43309) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-05-24 |