| NPI | 1699986901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 63369) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 63369-20) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-09-06 |