| NPI | 1184940363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: TX R8204) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R8204) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2025-08-14 |