| NPI | 1437247426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A100302) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD068018L) |
| 208600000X Surgery (Licence: CA A100302) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-03-17 |