| NPI | 1346579349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MN 59620) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TN 50844) |
| 208600000X Surgery (Licence: TN MD50844) | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2015-12-07 |