| NPI | 1386694958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MI 4301102841) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 48778) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-06-25 |