| NPI | 1942521349 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MD D0085996)  | 
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0085996)  | 
| Enumeration Date | 2010-06-20 | 
| Last Update Date | 2018-11-05 |