| NPI | 1669798021 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: CA C197609) | 
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD60658819) | 
| 208600000X Surgery (Licence: WA MD60658819) | |
| Enumeration Date | 2010-04-10 | 
| Last Update Date | 2024-11-07 |