| NPI | 1972980993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: LA 328942) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV LL2802) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2022-12-08 |