| NPI | 1144681636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 318129) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 318129) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2025-10-30 |