| NPI | 1174734032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.098035) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.098035) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-02-22 |