NPI | 1598062564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MA 259370) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 259370) |
Enumeration Date | 2011-02-27 |
Last Update Date | 2022-09-15 |