| NPI | 1316409055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: NM MD2025-0397) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: PA MT232177) |
| 208600000X Surgery (Licence: PA MD485202) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2025-06-30 |