| NPI | 1073564423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OR MD169838) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WI 41039) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-12-04 |