| NPI | 1225208408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A97146) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NV 16001) |
| 208600000X Surgery (Licence: CA a97146) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2020-12-09 |