| NPI | 1497242234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: UT 13786490-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 13786490-1205) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2024-06-17 |