NPI | 1144495003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: DE C10010496) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NJ 25MA09439600) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2024-11-12 |