| NPI | 1780249714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2026009384) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 1780249714) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2026-06-29 |