| NPI | 1235357104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD171381) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OR MD171381) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-03-13 |