| NPI | 1578903480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: GA 91769) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2013018489) |
| 208600000X Surgery (Licence: KS 04-36594) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: AL 36994) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-08-23 |