| NPI | 1619189495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: PA md453402) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 36109989) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 36109989) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IL 36109989) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 36109989) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2018-11-15 |