| NPI | 1063685956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: AR E-17038) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-17038) |
| 2086S0120X Surgery Pediatric Surgery (Licence: TX N7560) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2023-10-03 |