| NPI | 1427037753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: AZ 20291) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 20291) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2021-08-18 |