| NPI | 1013400811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101283886) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101283886) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2026-05-27 |