| NPI | 1942455860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A140651) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125054857) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2020-03-12 |