| NPI | 1932638855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: KY 56917) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R76384) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-05-25 |