| NPI | 1508808833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX N9909) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036063571) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TX 42651) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2015-05-05 |