| NPI | 1003343500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: WA DO.OP.70150321) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO TL0006432) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2026-09-01 |