| NPI | 1205077104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 63425) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: WI 63425) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IA R-10775) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2019-06-28 |