| NPI | 1689830820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME158505) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: ID M11912) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2022-10-31 |