| NPI | 1932527538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD485492) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD485492) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2025-12-23 |