| NPI | 1053567164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 251365) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 251365) |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2026-05-30 |