| NPI | 1992096119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME135562) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME135562) |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME135562) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2022-04-20 |