| NPI | 1407976517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME118118) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 57407) |
| 208600000X Surgery (Licence: WI 57407) | |
| 208600000X Surgery (Licence: OH 35.093515) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-05-25 |