| NPI | 1023451200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: SC 91987) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10046348) |
| 208600000X Surgery (Licence: TX T4709) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2024-08-15 |