| NPI | 1699266395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME173309) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: MD D0097228) |
| 2086S0127X Surgery Trauma Surgery (Licence: FL ME173309) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2025-07-23 |