| NPI | 1538665724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 28011) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV 28011) |
| 208600000X Surgery (Licence: NC 239417) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2025-09-03 |