| NPI | 1477083947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: VT 042.0017325) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 324894) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: VT 042.0017325) | |
| 208600000X Surgery (Licence: NY 324894) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2026-05-21 |