| NPI | 1669909602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD486263) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2023-01526) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-09-25 |