| NPI | 1164470662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: WI 47111-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 47111-20) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2021-01-04 |