| NPI | 1801038161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD60611183) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD60611183) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2025-10-24 |