| NPI | 1700172871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA DO-04656) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-9282) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IA DO-04656) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IA DO-04656) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2022-11-04 |