| NPI | 1053762211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 5101026940) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101022751) |
| 208600000X Surgery (Licence: MI 5101026940) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2026-03-27 |