| NPI | 1316123383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A115475) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A115475) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2025-06-03 |