NPI | 1881182012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MA 1020466) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 324071-01) |
2086S0102X Surgery, Surgical Critical Care (Licence: MA 1020466) | |
2086S0127X Surgery, Trauma Surgery (Licence: NY 324071) | |
Enumeration Date | 2018-04-24 |
Last Update Date | 2024-07-10 |