| NPI | 1013970763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 90886) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX H3602) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: GA 90886) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX H3602) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2022-03-31 |