| NPI | 1093970469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: SC 81769) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: KY TP980) |
| 2086S0127X Surgery, Trauma Surgery (Licence: KY 44731) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: SC 81769) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2023-08-16 |