| NPI | 1831164359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2015-01379) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME78698) |
| 208600000X Surgery (Licence: VA 0101272770) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: FL ME78698) | |
| Enumeration Date | 2006-02-19 |
| Last Update Date | 2021-10-01 |