| NPI | 1255431128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 269064) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME96759) |
| 208600000X Surgery (Licence: IL 036-143939) | |
| 208600000X Surgery (Licence: AZ 53381) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-143939) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036143939) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-10-25 |