| NPI | 1730409103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301119154) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-244001) |
| 208600000X Surgery (Licence: MI 4301119154) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2020-02-25 |