| NPI | 1750571949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: NY 266658) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: OH 35.094129) |
| 2086S0127X Surgery Trauma Surgery (Licence: OH 35.094129) | |
| 208600000X Surgery (Licence: OH 35.094129) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: PA MD435756) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: TN 45335) | |
| 208600000X Surgery (Licence: TN 45335) | |
| 208600000X Surgery (Licence: NY 266658) | |
| 2086S0127X Surgery Trauma Surgery (Licence: NY 266658) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2013-04-22 |