| NPI | 1477916294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD61419866) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM MD2022-0117) |
| 208600000X Surgery (Licence: NM BP10055819) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-11-19 |