| 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 |