| NPI | 1215903356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CT 062227) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 062227) |
| 2086X0206X Surgery Surgical Oncology (Licence: FL ME151258) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2021-07-27 |