| NPI | 1346482155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.134171) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: KY 51893) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2019-01-11 |