| NPI | 1225368384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AZ 46395) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R70662) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2025-11-28 |