| NPI | 1760775050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: AZ 55513) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 55513) |
| 2086S0102X Surgery Surgical Critical Care (Licence: MA 269382) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: AZ 55513) | |
| 2086S0127X Surgery Trauma Surgery (Licence: MA 269382) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2018-07-30 |