| NPI | 1366737843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: FL OS22864) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL OS22864) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL OS22864) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2026-06-22 |