| NPI | 1710397351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: PR 21894) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PR 21894) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-03-11 |