| NPI | 1730324096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MI 4301077977) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35095454) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2023-11-03 |