| NPI | 1861696643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: LA 205553) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 205553) |
| 208600000X Surgery (Licence: TX N7301) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: LA 205553) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX N7301) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX N7301) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2018-10-23 |