| NPI | 1952517476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CA C152421) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CA C152421) |
| 208600000X Surgery (Licence: CA C152421) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2024-04-29 |