| NPI | 1184035677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: HI MD-22920) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OK 35631) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2023-02-01 |