| NPI | 1699901496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: SC 83333) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 261551) |
| 2086S0102X Surgery Surgical Critical Care (Licence: MA 261551) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: NH T-0804) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2022-02-01 |