NPI | 1528151859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: GA 51021) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: SC 93882) |
Enumeration Date | 2006-09-30 |
Last Update Date | 2025-06-18 |