| NPI | 1548540263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301098136) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0074467) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2025-03-25 |