| NPI | 1780245183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NE 37222) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301511929) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NE 37222) | |
| 208600000X Surgery (Licence: MI 4301511929) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-12-09 |