| NPI | 1578836201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: OK 30604) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 30604) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2024-09-10 |