| NPI | 1811488505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 104054) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN26518) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2025-06-30 |