| NPI | 1417497140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2023-00331) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA OS025200) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2026-01-13 |