| NPI | 1497780811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MA 81480) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 81480) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-10-28 |