| NPI | 1588027080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: DC MD049368) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101275288) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2026-05-26 |