| NPI | 1457311797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA G89180) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D39953) |
| 208D00000X General Practice (Licence: TX M1682) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2013-11-26 |