| NPI | 1952748972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: FL ME163740) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10046907) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2023-12-29 |