| NPI | 1679749477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: NY 245372) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 245372) |
| 2086S0102X Surgery Surgical Critical Care (Licence: NY 245372) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2021-06-08 |