| 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 |