| NPI | 1891810578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MI 4301107108) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301107108) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-11-27 |