| NPI | 1124061346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME138101) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TN MD0000038034) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-01-04 |