| NPI | 1043655285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2022-02558) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: IL 125.075364) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-02-23 |