| NPI | 1245456706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: GA 068339) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 068339) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-08-09 |