| NPI | 1144757105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD478633) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD478633) |
| Enumeration Date | 2017-05-21 |
| Last Update Date | 2023-05-09 |