| NPI | 1720110166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: DC MD210002868) |
| Additional Taxonomies | 208600000X Surgery (Licence: DE C7-0003453) |
| 208600000X Surgery (Licence: DE C1-0010116) | |
| 208C00000X Colon & Rectal Surgery (Licence: DC MD210002868) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-02-08 |