| NPI | 1902193410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD465923) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT202568) |
| 208600000X Surgery (Licence: VA 0101271194) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-04-06 |