| NPI | 1841451184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: VA 0101277135) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A121968) |
| 208600000X Surgery (Licence: DC MD038901) | |
| 2086S0120X Surgery Pediatric Surgery (Licence: AZ 52372) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-07-31 |