| NPI | 1255793477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MO 2023011834) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV 21269) |
| 2086S0127X Surgery, Trauma Surgery (Licence: KS 04-48052) | |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2023-08-21 |