| NPI | 1831400043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101255183) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL32879) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 102167) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2025-07-15 |