| NPI | 1700029212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: MO 2015026138) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2015026138) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2025-07-19 |