| NPI | 1821017161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NM 2002-0287) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301102955) |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036136748) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-11-19 |