NPI | 1316155575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: SC 61189) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101226911) |
2086S0102X Surgery, Surgical Critical Care (Licence: WA MD60027234) | |
2086S0127X Surgery, Trauma Surgery (Licence: WA MD60027234) | |
Enumeration Date | 2007-05-20 |
Last Update Date | 2018-08-16 |