| NPI | 1376744805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2010-01517) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: NC 2010-01517) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-02-08 |