| NPI | 1720277494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.090560) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OK 27219) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2019-08-26 |