| NPI | 1184750853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: WI 75791) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 75791) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-08-25 |