| 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 |