| NPI | 1770809105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 53448) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TN 53448) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2016-07-05 |