| NPI | 1629456322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2022027206) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD492739) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2026-01-07 |