| NPI | 1528123486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD071984L) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: SD 8617) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: DE C10007719) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2018-09-21 |