| NPI | 1205121993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: HI MD-16391) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD461703) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2021-06-09 |