| NPI | 1285951590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NY 320379) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10034424) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TX p0428) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NJ 25MA11628100) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: GA 92806) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2023-04-20 |