| NPI | 1710134226 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA A111671)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: CA A111671)  | 
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A111671)  | |
| Enumeration Date | 2008-08-26 | 
| Last Update Date | 2020-04-15 |