| NPI | 1831119528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301089001) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD030406E) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD030406E) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: PA MD030406E) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301089001) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-10-22 |