| NPI | 1962901660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0074787) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CO DR.0074787) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2026-01-12 |