| NPI | 1558486498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME 110680) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD ME110680) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2012-01-25 |