| NPI | 1598949885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NY 287034-1) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036134954) |
| 208600000X Surgery (Licence: FL ME124351) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2017-10-05 |