| NPI | 1851824635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MN 66238) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WI 77332) |
| 208600000X Surgery (Licence: MN 66238) | |
| 208600000X Surgery (Licence: WI 77332) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2024-01-16 |