| NPI | 1831227560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 074354) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301087089) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036113869) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD60429831) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: VA MD60429831) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-10-25 |