| NPI | 1972940088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX T2266) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 57543) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX T2266) | |
| 208600000X Surgery (Licence: TX 574417) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2025-12-18 |