| NPI | 1881190734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX V1928) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 29239) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX V1928) | |
| 208600000X Surgery (Licence: MN 65966) | |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2024-07-26 |