| NPI | 1124321252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA 191994) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: PA MD468184) |
| Enumeration Date | 2010-12-12 |
| Last Update Date | 2023-11-21 |