| NPI | 1447637350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 81314) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 52991) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX T1602) | |
| 208600000X Surgery (Licence: TX T1602) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-12-03 |