| NPI | 1124261979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: OR DO173258) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: OR DO173258) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2020-02-03 |