| NPI | 1053678128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL 32984) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: AL 32984) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2020-03-26 |