| NPI | 1144423088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME116911) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 57006970) |
| 208600000X Surgery (Licence: TX N6709) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TX N6709) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-10-14 |