| NPI | 1851507974 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: ME MD24457)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: TX P3337)  | 
| 208600000X Surgery (Licence: ME MD24457)  | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX P3337)  | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: ME MD24457)  | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX P3337)  | |
| Enumeration Date | 2007-05-15 | 
| Last Update Date | 2025-08-11 |