| NPI | 1841279866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: NY 252581) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: SC 94149) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2025-05-20 |