| NPI | 1992924724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: KY 59200) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60299596) |
| 208600000X Surgery (Licence: RI LP00200) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI EMC000676) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD60299596) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-04-29 |