| NPI | 1952512980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2022019850) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301115451) |
| 208600000X Surgery (Licence: IL 036140509) | |
| 208600000X Surgery (Licence: NC 141098) | |
| 208600000X Surgery (Licence: IN 01091194A) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 70272) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-08-08 |