| NPI | 1780885202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NE 29200) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MT205584) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2016-07-21 |