| NPI | 1831192483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MI 4301075397) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G076836) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2013-03-14 |