| NPI | 1831487479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0116029285) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA OS018708) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2021-11-30 |