| NPI | 1376787101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TN 92284) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TX M8133) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2022-03-18 |