| NPI | 1982775144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A53583) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A53583) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2011-12-12 |