| NPI | 1750554630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX Q9521) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A103252) |
| 208600000X Surgery (Licence: TX Q9521) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2024-10-29 |