| NPI | 1336115401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: ID MC-2824) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD61046959) |
| 208600000X Surgery (Licence: AZ 40815) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD61046959) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 40815) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: AZ 40815) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-06-05 |