NPI | 1982653309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35061786) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35061786) |
2086S0102X Surgery, Surgical Critical Care (Licence: OH 35061786) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2022-12-09 |