| NPI | 1902076169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: VA 0101247533) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101247533) |
| 2086S0127X Surgery Trauma Surgery (Licence: VA 0101247533) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2021-12-23 |