NPI | 1861771610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AZ 46172) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 46172) |
2086S0127X Surgery, Trauma Surgery (Licence: FL ME116100) | |
Enumeration Date | 2011-08-11 |
Last Update Date | 2021-09-13 |