| NPI | 1427131598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101054359) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX Q1135) |
| 208600000X Surgery (Licence: TX Q1135) | |
| 208600000X Surgery (Licence: VA 0101054359) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2026-03-19 |