| NPI | 1215925672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0068946) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 280123-1205) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2023-10-30 |