| NPI | 1033571229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX PA19375) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2021017124) |
| 208600000X Surgery (Licence: MO 2021017124) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX PA19375) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2021017124) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2025-08-01 |