| NPI | 1518065804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101240443) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101240443) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-01-28 |