| NPI | 1760601116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: UT 14229368-1235) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2018019502) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2018019502) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2025-07-17 |