| NPI | 1124263587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: SC 51196) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX TMB PIT #BPI0032302) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2022-07-21 |