| NPI | 1285766121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX Q6576) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD60080540) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: ID M-12449) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: WA MD60080540) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX Q6576) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-03-24 |