| NPI | 1376753939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MI 4301086179) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301086179) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-09-28 |