| NPI | 1306074323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101264954) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: ID M-15315) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2020-11-09 |