| NPI | 1396036984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2021-1150) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 173417) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2023-07-12 |