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 |