| NPI | 1962621169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MI 4301101060) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301101060) |
| 208600000X Surgery (Licence: TN MD51606) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TN MD51606) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.137134) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-03-09 |