| 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 |