| NPI | 1265781835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: PA MD476416) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD476416) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MD D0081656) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2025-05-22 |