| NPI | 1699939272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301099854) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MI 4301099854) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2014-10-10 |