| NPI | 1770926131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0086537) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 1149) |
| 208600000X Surgery (Licence: GU MC-048) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: GU MC-048) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-11-23 |