| NPI | 1649698192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101269103) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.150345) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-06-10 |