| NPI | 1225418668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 73320) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 73320-20) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2020-07-28 |