| NPI | 1457713513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 85035) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: CT 85035) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2026-06-04 |