| NPI | 1811150345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: IL 036136923) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A91515) |
| 2086S0120X Surgery Pediatric Surgery (Licence: CA A91515) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2018-08-17 |