| NPI | 1881915403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MN 66273) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-42793) |
| 208600000X Surgery (Licence: MN 66273) | |
| 208600000X Surgery (Licence: IL 125.057738) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IA MD-42793) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MN 66273) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IA MD-42793) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2019-11-26 |