| NPI | 1467985168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD61418577) |
| Additional Taxonomies | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: WA MD61418577) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD61418577) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-08-06 |