| NPI | 1104861731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX U7340) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 1809) |
| 208600000X Surgery (Licence: TX U7340) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WV 3449) | |
| 208600000X Surgery (Licence: WV 3449) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TN 1809) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MI 5101014615) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2024-03-21 |