| NPI | 1801092085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: AZ 60273) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A106474) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: MO 2015014074) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NV 17167) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-07-21 |