| NPI | 1326604596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL OS23209) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL82180) |
| 208600000X Surgery (Licence: SC 95422) | |
| 208600000X Surgery (Licence: FL OS23209) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2026-04-29 |