| NPI | 1679329106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH APP-000836368) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: OH APP-000836368) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: OH APP-000836368) | |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2025-05-30 |