| NPI | 1982679593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: KY 30559) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME86766) |
| 208600000X Surgery (Licence: VA 0101241013) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME86766) | |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2021-08-24 |