| NPI | 1679865935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: AR E-10951) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E10951) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NY 268141) | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2024-12-11 |