| NPI | 1801258348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 69736) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 6973621) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-02-16 |