| NPI | 1356796288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2023-01620) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NC 2023-01620) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2023-01620) | |
| 208600000X Surgery (Licence: TN 63460) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2026-01-07 |