| NPI | 1275093759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX W0295) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX W0295) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-12-09 |