| NPI | 1487394383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 87832) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 87832) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-09-02 |