NPI | 1265781835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD476416) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MD D0081656) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2022-01-03 |