| NPI | 1679832380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NY 274702-01) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 274702-01) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2023-06-07 |