NPI | 1750368692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MN 42175) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 42175) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2020-08-14 |