| NPI | 1972065084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: HI DOS-2722-0) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 011189) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 011189) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: HI DOS-2722-0) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2025-09-26 |