| 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 |