| NPI | 1689861395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD434326) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35082183) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2024-01-31 |