| NPI | 1700441805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A205443) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 281025) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A205443) | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2026-02-11 |