| NPI | 1528277563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA 37143) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R6789) |
| 2086S0127X Surgery Trauma Surgery (Licence: IA 37143) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-10-23 |