| 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 |