NPI | 1336435494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: WI 75466) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301098422) |
Enumeration Date | 2011-06-27 |
Last Update Date | 2021-08-02 |