| NPI | 1053607549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0059751) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX 559677) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-09-29 |