| NPI | 1093771297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: TX M0411) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX M0411) |
| 208000000X Pediatrics (Licence: TX M0411) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: TX M0411) | |
| 2086X0206X Surgery Surgical Oncology (Licence: TX M0411) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-01-27 |