| NPI | 1265402242 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: ME MD15414)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-138577)  | 
| 208600000X Surgery (Licence: MA 81948)  | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MA 81948)  | |
| 2086S0127X Surgery, Trauma Surgery (Licence: ME 015414)  | |
| Enumeration Date | 2006-01-24 | 
| Last Update Date | 2022-02-03 |