| NPI | 1295829125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101250855) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NC 9901564) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-12-15 |