| NPI | 1104184944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MD D0101830) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 297702-1) |
| 208600000X Surgery (Licence: IL 036153330) | |
| 208600000X Surgery (Licence: GU M-2253) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036153330) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2025-08-21 |