| NPI | 1265507156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.088707) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: KY 52929) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2019-08-05 |