| NPI | 1790103992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301117028) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MI 4301117028) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2019-10-28 |