| NPI | 1992937403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101018440) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL OS13119) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 5101018440) | |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2023-05-30 |