| NPI | 1760800312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 64645) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 64645) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 64645) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-08-03 |