| NPI | 1982865804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: KY 55920) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01071263A) |
| 208600000X Surgery (Licence: IL 125050104) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01071263A) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2021-10-05 |