| NPI | 1518347988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 339907) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA A173096) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A173096) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2026-08-11 |