| NPI | 1700040573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD167389) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OR MD167389) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-11-10 |