| NPI | 1912290917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX T5698) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX T5698) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: OK 32810) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: CO DR.0062382) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-05-04 |