| NPI | 1891958310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: KY 47311) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: MT 99128) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101279512) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME148572) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-12-05 |