| NPI | 1225341068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: KS 0443455) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: MO 2016008913) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2020-12-01 |