| NPI | 1154309284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX T4444) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036.129744) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2022-07-27 |