| NPI | 1356386577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NM NM2021-0493) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A73774) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: CA A73774) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-06-13 |