| NPI | 1821593708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301511708) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301511708) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2024-07-25 |