| NPI | 1356464846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2010-01071) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2010-01071) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2021-08-17 |