| NPI | 1235111014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036-083709) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: OK 35914) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2021-04-28 |