| NPI | 1659310860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A70697) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR-50308) |
| 208600000X Surgery (Licence: GU M-1845) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A70697) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA A70697) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-12-01 |