| NPI | 1770801284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD462936) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD462936) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2022-10-03 |