| NPI | 1578714549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: WI 68624) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: VA 0101261021) |
| 2086S0102X Surgery Surgical Critical Care (Licence: WI 68624) | |
| 208600000X Surgery (Licence: DC NA) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2020-05-18 |