NPI | 1538447529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MA 1018144) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 1018144) |
2086S0120X Surgery, Pediatric Surgery (Licence: ME 018890) | |
2086S0120X Surgery, Pediatric Surgery (Licence: IL 036144476) | |
Enumeration Date | 2011-07-26 |
Last Update Date | 2024-12-09 |