| NPI | 1093962284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH LT - 3446) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D70894) |
| 208600000X Surgery (Licence: PA MT184794) | |
| 2086S0127X Surgery Trauma Surgery (Licence: ID M-15274) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2020-12-03 |