NPI | 1629288493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD60449813) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101240754) |
2086S0127X Surgery, Trauma Surgery (Licence: MD D71167) | |
2086S0102X Surgery, Surgical Critical Care (Licence: MD D71167) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2014-05-02 |