| NPI | 1912178948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: ND PT14546) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-37727) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IA MD-37727) | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2022-03-25 |