| NPI | 1912483322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 79458) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10064885) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2025-09-10 |