| NPI | 1083836589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CO 45805) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: CA a69017) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-11-25 |