| NPI | 1376906644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101285697) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101285697) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101285697) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: VA 0101285697) | |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2025-09-18 |