| NPI | 1831753565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2025-02244) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: NC 2025-02244) |
| 2086S0127X Surgery Trauma Surgery (Licence: NC 2025-02244) | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2025-07-11 |