| NPI | 1144535725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NY 289161) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT197886) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD455147) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 289161) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: PA MD455147) | |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2022-07-21 |