| NPI | 1336435494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MO 2024037337) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301098422) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2024-10-16 |