| NPI | 1730385618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2022-02223) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301105782) |
| 208600000X Surgery (Licence: NC 2022-02223) | |
| 208600000X Surgery (Licence: LA GETP.SUR.LSU) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301105782) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2023-01-25 |