| NPI | 1376963173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX T1632) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10050134) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX T1632) | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2022-08-15 |