| NPI | 1356546774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA 134762) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 134762) |
| 208600000X Surgery (Licence: MD D74206) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MD D74206) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NM MD2015-0146) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NM CS00221453) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MD D74206) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA 134762) | |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2019-08-22 |