| NPI | 1053440792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 34.010184) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: KY 04579) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-07-10 |