| NPI | 1205114782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A175338) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 251462) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA A175338) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2022-02-25 |