| NPI | 1952620957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX T3773) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD185405) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NC 2016-01308) | |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2023-09-07 |