| NPI | 1932429479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 64140) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 269026) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2019-09-23 |