| NPI | 1023185600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: GA 27629) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 27629) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-12-22 |