| NPI | 1184967150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD61134383) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: WA MD61134383) |
| 2086S0102X Surgery Surgical Critical Care (Licence: WA MD61134383) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2024-07-29 |