| NPI | 1972802791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: CT 65084) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 65084) |
| 2086S0102X Surgery Surgical Critical Care (Licence: CT 65084) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2020-09-18 |