| NPI | 1649508037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IA MD-43379) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.124.557) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2016-08-10 |