| NPI | 1316944127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: RI MD9613) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: RI RI9613) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-01-29 |