| NPI | 1023278827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: NE 29260) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 261777) |
| 208600000X Surgery (Licence: NE 29260) | |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2016-07-27 |