| NPI | 1518162874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OR MD191001) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD191001) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: AZ 52677) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-09-14 |