| NPI | 1912937137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD22684) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2011029493) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-01-11 |