| NPI | 1164658258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.099337) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: OH 35.099337) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2023-08-10 |