| NPI | 1396061560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TN 0000055916) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101260274) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2020-07-28 |