| NPI | 1942569231 |
|---|---|
| Former Name | MACKENZIE LEE BEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: UT 11768709-1205) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35136866) |
| 208600000X Surgery (Licence: CO DR.0073865) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2024-07-29 |