| NPI | 1801942495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CO 43866) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: AK 166507) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2026-04-28 |