| 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 |