| NPI | 1790195014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 62355) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TN 58670) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2024-08-02 |