| NPI | 1386759918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OR MD194587) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 253839) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2025-04-30 |