| NPI | 1144278896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CT 045091) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: MA 261237) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NY 205841) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-04-13 |