| NPI | 1821442385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 89382) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX T0922) |
| 2086S0127X Surgery Trauma Surgery (Licence: TX T0922) | |
| 2086S0127X Surgery Trauma Surgery (Licence: SC 89382) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2024-06-06 |