| NPI | 1881715399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: SC 89518) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2008-00767) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2023-04-12 |