| 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 |