| NPI | 1407995400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2018-0115) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX N9278) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TX N9278) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-11-29 |