| NPI | 1255719613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 273108) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 273108) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2025-04-04 |