| NPI | 1952751604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 27591) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 1017880) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2025-07-31 |