NPI | 1750543757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: AZ 49865) |
Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: TX P2471) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2017-11-20 |