NPI | 1366737843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0102203192) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0102203192) |
208600000X Surgery (Licence: VA 0102203192) | |
Enumeration Date | 2011-06-13 |
Last Update Date | 2023-10-03 |