| NPI | 1821141748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: GA 86742) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: OR MD29220) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2021-03-23 |