| NPI | 1861815284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CO DR.0075617) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 267455) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2025-09-30 |