| NPI | 1437126307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: TX Q0476) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 214864) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2015-05-18 |