| NPI | 1033205091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 044539) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME0086398) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-11-01 |