| NPI | 1821815226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: PA LT001026) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: PA LT001026) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |