NPI | 1629230313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: GA 74495) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 003072) |
208600000X Surgery (Licence: AL 32510) | |
2086S0102X Surgery, Surgical Critical Care (Licence: PA MD459679) | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2021-10-27 |