| NPI | 1033556634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME141495) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME141495) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2025-08-11 |