| NPI | 1598159931 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: ME MD27403)  | 
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 294555)  | 
| 2086S0127X Surgery, Trauma Surgery (Licence: WI 75328-20)  | |
| 2086S0127X Surgery, Trauma Surgery (Licence: ME MD27403)  | |
| 208600000X Surgery (Licence: WI 75328-20)  | |
| 208600000X Surgery (Licence: ME MD27403)  | |
| Enumeration Date | 2015-03-24 | 
| Last Update Date | 2023-12-13 |