| NPI | 1316237969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: KY 50461) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 50461) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: KY 50461) | |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2017-07-14 |