| NPI | 1902123094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD61073166) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: AL 35266) |
| 2086S0127X Surgery, Trauma Surgery (Licence: AL 35266) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2021-05-24 |