| NPI | 1689068579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: FL ME168793) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME168793) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2024-10-13 |