| NPI | 1952591901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CO 46850) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TX M2100) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2022-01-24 |