| NPI | 1073995171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD.MD.61669357) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 293232) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MA 293232) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2025-05-19 |