| NPI | 1457570707 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208600000X Surgery (Licence: CA C166068)  | 
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: AZ 46317)  | 
| 208600000X Surgery (Licence: AZ 46317)  | |
| 208600000X Surgery (Licence: IL 036137808)  | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 46317)  | |
| Enumeration Date | 2007-04-25 | 
| Last Update Date | 2021-08-12 |