| NPI | 1760742787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NM MD2016-0442) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM MD2016-0442) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NM MD2016-0442) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2024-10-23 |