| NPI | 1659863553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 74325) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 74325) |
| 2086S0127X Surgery, Trauma Surgery (Licence: AZ 74325) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2025-01-06 |