| NPI | 1588954671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: OH 35.120725) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.120725) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-01-30 |