| NPI | 1114314077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD482293) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CT 81726) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2025-06-11 |