| NPI | 1578822946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX R0481) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10044093) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2019-03-25 |