| NPI | 1770646390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301037606) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MI 4301037606) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |