| NPI | 1033639687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: ND RL14698) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 02008531A) |
| 208600000X Surgery (Licence: AZ 010214) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2025-10-07 |