| NPI | 1013947258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR53107) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX M1389) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NM MD2012-0843) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2026-05-19 |