| NPI | 1720283344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD60455621) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60455621) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2019-09-30 |