| NPI | 1477780997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A170381) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM md2020-1005) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2021-12-01 |