| NPI | 1801976238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: LA 323841) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TX G6705) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-10-02 |