NPI | 1700036613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 065927) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 065927) |
2086S0127X Surgery, Trauma Surgery (Licence: GA 065927) | |
Enumeration Date | 2008-09-27 |
Last Update Date | 2020-09-15 |