| NPI | 1720048200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G84172) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA G84172) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2022-01-20 |