| NPI | 1871995670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D90826) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0090826) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2021-08-20 |