| NPI | 1275798712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: AR E-14223) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2014-00001) |
| 208600000X Surgery (Licence: MI 4301097725) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301097725) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: WI 66178) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2021-08-17 |