| NPI | 1295261386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101027601) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: MI 5101027601) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2025-05-23 |