| NPI | 1164950200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2023-01191) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: NC 2023-01191) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2025-05-14 |