| NPI | 1861722985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NE 27419) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10029331) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2017-07-11 |