| NPI | 1346428463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: WA MD60651770) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60651770) |
| 208600000X Surgery (Licence: GA 00-2599) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2021-05-19 |