| NPI | 1982022547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: FL ME139959) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL 139959) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-08-11 |