| NPI | 1467666081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD471356) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101282870) |
| 208600000X Surgery (Licence: PA MD471356) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-07-22 |