| NPI | 1295787596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.064107) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IN 01062184A) |
| 208600000X Surgery (Licence: IN 01062184A) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: ND 12633) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: KY 35459) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-12-03 |