| NPI | 1861847840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 96153) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 96153) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2025-02-24 |