| NPI | 1184967150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD61134383) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD61134383) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-03-24 |