| NPI | 1043748007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX V0184) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2022-01275) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2024-10-23 |