| NPI | 1154647816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: ND 14285) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: ND PT 14285) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2024-09-17 |