| NPI | 1902186497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 299088) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 299088) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 299088) | |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2020-08-03 |