| NPI | 1255726931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.00000) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: FL 143761) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2023-10-11 |