| NPI | 1962792770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: AL 32188) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 32188) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2021-09-02 |