| NPI | 1174710982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME104932) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 41473) |
| 2086X0206X Surgery, Surgical Oncology (Licence: KY 41473) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2011-03-14 |