| NPI | 1992065932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NC 2025-02273) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME140200) |
| 208600000X Surgery (Licence: GA 005449) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME140200) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2025-07-29 |