NPI | 1316380389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: NV 20089) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: NV 20089) |
2086S0102X Surgery Surgical Critical Care (Licence: NY 278253) | |
2086S0127X Surgery Trauma Surgery (Licence: NY 278253) | |
Enumeration Date | 2013-04-09 |
Last Update Date | 2025-07-15 |