| NPI | 1730317686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: VA 0101249244) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: VA 0101249244) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2024-05-08 |