| NPI | 1669868030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD216057) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 10100676-1205) |
| 208600000X Surgery (Licence: NM MD2022-1067) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NM MD2022-1067) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OR MD216057) | |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2025-01-03 |