| NPI | 1417275132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: KY TP421) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: AL 34095) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2025-06-09 |