| NPI | 1982961058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TN 65996) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TN 65996) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2023-03-30 |