| NPI | 1043607989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD61322404) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD61322404) |
| 2086S0127X Surgery, Trauma Surgery (Licence: WA MD61322404) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2024-07-02 |