| NPI | 1396798005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: VT 042-0012192) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: NY 002197) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-10-24 |