| NPI | 1952896748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY TP306) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IA R-12033) |
| 208600000X Surgery (Licence: IA R-12632) | |
| 208600000X Surgery (Licence: MO 2018020068) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2026-07-31 |