| NPI | 1912009424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2006-01562) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2006-01562) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2023-12-18 |