| NPI | 1104322668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX U1251) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX U1251) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-08-19 |