| NPI | 1053731133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME163279) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2021-01560) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-09-08 |