| NPI | 1235309543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD462378) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD462378) |
| 208600000X Surgery (Licence: NY 390200000x) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TN MD47382) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2022-07-21 |