| NPI | 1598771248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NY 246266) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NM 97-209) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: CA G64008) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2012-02-28 |