| NPI | 1598205932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101023187) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 5101026775) |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2024-12-27 |