| NPI | 1063700607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101256318) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WI 60689) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2014-09-02 |