| NPI | 1699107698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 79929) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 83421) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL OS17773) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: GA 79929) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: SC 83421) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OH 34C.000196) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2025-01-24 |