| NPI | 1215433560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2024008978) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 82145-20) |
| 2086S0127X Surgery, Trauma Surgery (Licence: WI 82145-20) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2026-09-01 |