| NPI | 1932224607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 54671) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 54671) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-12-01 |