| NPI | 1891999215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA 20A8807) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA 20A8807) |
| 208600000X Surgery (Licence: CA 20a8807) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-09-05 |