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 | 2021-04-13 |