| NPI | 1871500462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD043032L) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD043032L) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-03-02 |