| NPI | 1194089938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 5101019871) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101019871) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2026-06-30 |