| NPI | 1073803599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX T8362) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2018015287) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2018015287) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX T8362) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX T8362) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2022-07-27 |