| NPI | 1841679008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 169411) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 61549) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA 169411) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2024-04-27 |