| NPI | 1720307416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL MD.37419) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2016-00234) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AL MD.37419) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2019-05-29 |