| NPI | 1265427108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX U0254) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036-083049) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2022-11-16 |