| NPI | 1336588326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OK 45923) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NY 304415) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2025-09-17 |