| NPI | 1831362987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MO 2015007402) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 130711) |
| 208600000X Surgery (Licence: MO 2015007402) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2022-01-13 |