| NPI | 1710202619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2018-0451) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NM MD2018-0451) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2018-09-26 |