| NPI | 1851320493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: PA MD423172) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD423172) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-07-21 |