| NPI | 1861672412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: LA MD.205322) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: LA MD.205322) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2013-05-06 |