| NPI | 1790001071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD60553737) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60553737) |
| 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: WA MD60553737) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2018-06-06 |