| NPI | 1841289444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NV 11906) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 1934571) |
| 2086S0102X Surgery Surgical Critical Care (Licence: NY 1934571) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2024-02-29 |