| NPI | 1003048802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD457748) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT195404) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2016-06-16 |