| NPI | 1538370952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX s4034) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 49254) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX S4034) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-03-06 |