| NPI | 1568487858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA G81701) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G81701) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA G81701) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-12-13 |