| NPI | 1275798712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX V4980) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: WI 66178) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036172107) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: AR E-14223) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101286846) | |
| 208600000X Surgery (Licence: VA 0101286846) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301097725) | |
| 208600000X Surgery (Licence: TX v4980) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101286846) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2025-10-02 |