| NPI | 1992951909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN MD50858) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125053287) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 66760-20) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: OH 35 126943) | |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2022-07-21 |