| NPI | 1700187440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME144928) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A147889) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2020-07-06 |