| NPI | 1194915405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: LA MD.201432) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 61107-20) |
| 2086X0206X Surgery, Surgical Oncology (Licence: WI 61107) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2018-08-16 |