| NPI | 1336117357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD463900) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35-084184) |
| 2086S0127X Surgery, Trauma Surgery (Licence: OH 35-084184) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CT 046985) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2018-11-14 |