| NPI | 1346538568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.139060) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 60258) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2022-11-09 |