| NPI | 1528325974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: ME MD29612) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 89588) |
| 208600000X Surgery (Licence: ME MD29612) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2025-07-21 |