| NPI | 1801013560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: OR MD27637) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD27637) |
| 2086S0127X Surgery Trauma Surgery (Licence: OR MD27637) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-08-29 |