| NPI | 1972938249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MO 2017004407) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2017004407) |
| 208600000X Surgery (Licence: TX BC5738387-0337) | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2018-12-27 |