| NPI | 1043300502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OR MD161804) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: DC MD035632) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-12-02 |