| NPI | 1265451751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 76614) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: MA 76614) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-01-14 |