| NPI | 1720469232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME171414) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME171414) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2025-06-09 |