| NPI | 1437561123 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0087830)  | 
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0087830)  | 
| Enumeration Date | 2014-05-29 | 
| Last Update Date | 2025-02-19 |