| NPI | 1942282652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M0549) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX M0549) |
| 208600000X Surgery (Licence: TX M0549) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2011-04-01 |