| NPI | 1104838663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA G77962) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G77962) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2015-04-08 |