| NPI | 1437176021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME130239) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME-0079216) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-07-14 |