| NPI | 1730549684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA 20A24728) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 0) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2026-02-23 |