| 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 |