| NPI | 1023472362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: KY TP489) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 291126) |
| 2086S0102X Surgery Surgical Critical Care (Licence: MA 291126) | |
| 2086S0127X Surgery Trauma Surgery (Licence: MA 291126) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-09-23 |