| NPI | 1700316171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 1700316171) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV 25488) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2026-05-26 |