| NPI | 1275895229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 73826) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 275307) |
| 208600000X Surgery (Licence: WI 73826) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2021-02-08 |