| NPI | 1336401900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2017-00360) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: NC 2017-00360) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2025-03-12 |