| NPI | 1902854540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101242577) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA a74166) |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA a74166) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-03-16 |