| NPI | 1881790434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX N6218) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2003013116) |
| 208600000X Surgery (Licence: WI 51495-20) | |
| 208600000X Surgery (Licence: TX N6218) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: ME TD141098) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-02-17 |