Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 57.249241 | OH |
NPI | 1497149801 |
---|---|
Provider Name | Martha Michelle Estrada |
First Address | Cincinnati, OH 45267 |
Second Address | Cincinnati, OH 45219-2399 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 22/07/2020 |