| NPI | 1518453562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX W2503) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 325100) |
| 208600000X Surgery (Licence: MO 2018016641) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2026-01-14 |