| NPI | 1184661324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME 128177) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D44628) |
| 208600000X Surgery (Licence: FL ME 128177) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: MI 4301101819) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-07-21 |