| NPI | 1942404744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MN 53574) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 28215) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-10-16 |