| NPI | 1578827820 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD462894) | 
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT202479) | 
| 204F00000X Transplant Surgery (Licence: CA A155341) | |
| 204F00000X Transplant Surgery (Licence: WI 73556) | |
| Enumeration Date | 2012-07-02 | 
| Last Update Date | 2023-04-25 |