| NPI | 1861408015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX J8911) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX J8911) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-07-17 |