| NPI | 1225323348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NV 22241) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01077847A) |
| 208600000X Surgery (Licence: SC 33819) | |
| 208600000X Surgery (Licence: IA MD-46283) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IA MD-46283) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IN 01077847A) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2022-07-05 |