| NPI | 1598926503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: GA 86951) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A135484) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036.141381) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-09-24 |