| NPI | 1851650485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: AR E-14677) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD471091) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208600000X Surgery (Licence: AR E-14677) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2022-09-29 |