| NPI | 1972090884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 111483) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 111483) |
| 208600000X Surgery (Licence: CA A165051) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: GA 111483) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2026-07-17 |