| NPI | 1528242294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A113138) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 234436) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2023-04-06 |