| NPI | 1336178508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: TX H4102) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX H4102) |
| 2086S0102X Surgery Surgical Critical Care (Licence: TX H4102) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-02-06 |