| NPI | 1326304908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX R5651) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R5651) |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2025-09-04 |