| NPI | 1679662258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NJ 25MA10411200) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: KY 40425) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-12-11 |