| NPI | 1972862894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: UT 8841643-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 8841643-1205) |
| 208600000X Surgery (Licence: TN 58983) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: UT 8841643-1205) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TN 58983) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: ID MC-0715) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TN 58983) | |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2023-08-25 |