| NPI | 1750428280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: MT 19063) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: PA MD062299L) |
| 2086S0102X Surgery Surgical Critical Care (Licence: FL ME66853) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2017-04-03 |