| NPI | 1285885350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX Q4950) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX Q4950) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2021-11-09 |