| NPI | 1295913457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MN 49070) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: MT MED-PHYS-LIC-122234) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2024-02-19 |