| NPI | 1265995336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A181082) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA A181082) |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2026-02-06 |