| NPI | 1396756821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: KY 56535) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME90213) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NC 2011-00774) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-02-26 |