NPI | 1396916524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A114914) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MT210930) |
Enumeration Date | 2008-03-15 |
Last Update Date | 2018-09-20 |