| NPI | 1477047785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD61633200) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD61633200) |
| 208600000X Surgery (Licence: IL 125072908) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2025-08-25 |