| NPI | 1528235439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX N4474) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N4474) |
| 208600000X Surgery (Licence: NC 2008-00702) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2021-01-14 |