NPI | 1861657223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35pending) |
Additional Taxonomies | 208600000X Surgery (Licence: KY 44883) |
Enumeration Date | 2008-07-25 |
Last Update Date | 2022-05-04 |