| NPI | 1275953523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 84708) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 310645) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2025-02-26 |