| NPI | 1164691747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME147617) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D85765) |
| 2086X0206X Surgery Surgical Oncology (Licence: FL ME147617) | |
| 2086X0206X Surgery Surgical Oncology (Licence: MD D85765) | |
| 2086X0206X Surgery Surgical Oncology (Licence: VA 0101245830) | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2022-06-06 |