| NPI | 1669798021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD60658819) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD60658819) |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2021-08-17 |