| NPI | 1598756454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CO 40359) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 40359) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2022-02-10 |