| NPI | 1972838068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A111692) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A111692) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2026-04-28 |