| NPI | 1659409225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101254075) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 11579968-1205) |
| 2086S0127X Surgery, Trauma Surgery (Licence: VA 0101254075) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2026-04-23 |