| NPI | 1720044639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35138154) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD424907) |
| 2086S0127X Surgery, Trauma Surgery (Licence: PA MD424907) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-01-31 |