| NPI | 1730110651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NE 1974) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M0050) |
| 208600000X Surgery (Licence: NE 1974) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: OK 6836) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: AZ 007921) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: WI 71035-21) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-03-05 |