| NPI | 1124446919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.140227) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.140227) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-08-18 |