| NPI | 1699938316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.126725) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301091898) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301091898) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.126725) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2021-12-22 |