| NPI | 1720518632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD482105) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD482105) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-09-23 |