| NPI | 1942569231 |
|---|---|
| Former Name | MACKENZIE LEE BEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: UT 11768709-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 11768709-1205) |
| 2086X0206X Surgery, Surgical Oncology (Licence: UT 11768709-1205) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2025-07-18 |