| NPI | 1578635025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TN MD41597) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN MD41597) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-10-31 |