| NPI | 1619036993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OR MD215943) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2016013269) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-06-28 |