| NPI | 1699093807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CA A204365) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A204365) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: DC MD210002071) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A204365) | |
| 2086S0129X (Licence: DC MD210002071) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2025-08-06 |