| NPI | 1841406022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101272362) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TX M9837) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-10-30 |