| NPI | 1316380389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 20089) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 278253) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2021-02-24 |