| NPI | 1043479710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CT 048523) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD-431034) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2014-04-03 |