| NPI | 1184777120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NV DO2170) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A11813) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-01-08 |