NPI | 1568559235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MN 53928) |
Additional Taxonomies | 208600000X Surgery (Licence: WI 45340-020) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2020-08-14 |