| NPI | 1891785739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 43274) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 43274-020) |
| Enumeration Date | 2005-10-23 |
| Last Update Date | 2021-01-13 |