| NPI | 1164545281 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2017035457) | 
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: KS 04-37553) | 
| 208600000X Surgery (Licence: MA 230857) | |
| Enumeration Date | 2007-04-06 | 
| Last Update Date | 2018-03-17 |