NPI | 1023192747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX J7836) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: WA MD00041914) |
2086S0120X Surgery, Pediatric Surgery (Licence: ND PT13389) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-03 |