| NPI | 1568502912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX M6141) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TX M6141) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: OK 24288) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-02-10 |