| NPI | 1134153414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: GA 070736) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 36153) |
| 208600000X Surgery (Licence: OH 88725) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-02-15 |