| NPI | 1003018946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD436833) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT186556) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME 116285) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2022-05-05 |