| NPI | 1801986492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME153369) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME153369) |
| 2086S0127X Surgery, Trauma Surgery (Licence: UT 376059-1205) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: OH 35133250) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-11-02 |