| NPI | 1023454741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.150479) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.150479) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.150479) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2023005699) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2024-07-16 |