| NPI | 1932230810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A90884) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A90884) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-08-04 |