| NPI | 1366766941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2016-01245) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NC 2016-01245) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2025-08-13 |