| NPI | 1366881096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301103589) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301117569) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MI 4301117569) | |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2020-07-28 |