| NPI | 1982990669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0063478) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10040983) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2020-02-06 |