| NPI | 1740500081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 95963) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 95963) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2026-04-28 |