| NPI | 1194018812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: FL ME131806) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT199830) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2022-07-21 |