| NPI | 1780945311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OK 29175) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 29175) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2026-08-07 |