NPI | 1851480800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 049998) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ MA07735500) |
208600000X Surgery (Licence: NY 261213) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2021-12-01 |