| NPI | 1417971151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA C55022) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA C55022) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD428985) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TX N3036) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-04-29 |