| NPI | 1841785599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA 155766) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 155766) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2025-10-13 |