| NPI | 1073768057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 47252) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A95689) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX P0768) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2016-07-07 |