| NPI | 1073703542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2015022428) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2015022428) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MO 2015022428) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2024-07-25 |