NPI | 1437206562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MA 249491) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 249491) |
2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301106577) | |
2086S0127X Surgery, Trauma Surgery (Licence: WI 82-320) | |
2086S0127X Surgery, Trauma Surgery (Licence: PA MD453740) | |
2086S0127X Surgery, Trauma Surgery (Licence: AZ 47176) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2023-10-19 |