| NPI | 1639334824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2014-01058) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL31047) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2014-01058) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NC 2014-01058) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2022-02-10 |