| NPI | 1891759304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G86243) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: CA G86243) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-09 |