| NPI | 1124414008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OR MD208746) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD208746) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2025-04-30 |