| NPI | 1053730341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: WI 4899) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 268129) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-10-09 |