| NPI | 1689995441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 16558) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125-058-070) |
| 208600000X Surgery (Licence: NV 16558) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2021-08-12 |