| NPI | 1871640698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TN 45208) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-42508) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IA MD-42508) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-12-09 |