| NPI | 1811953607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: TN 35203) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-49676) |
| 2086S0102X Surgery Surgical Critical Care (Licence: IA MD-49676) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: SD 8716) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: WI 1834) | |
| 2086S0127X Surgery Trauma Surgery (Licence: IA MD-49676) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2022-07-01 |