| NPI | 1720434244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101026984) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2025-01080) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 5101026984) | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2025-08-05 |