| NPI | 1306851761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MN 33477) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301084714) |
| 208600000X Surgery (Licence: MN 33477) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-12 |