| NPI | 1962638080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.097120) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.097120) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2018-03-17 |