| NPI | 1881715944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: RI MD16025) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NY 262737) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-01-29 |