NPI | 1235373846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A115551) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME143362) |
Enumeration Date | 2009-04-27 |
Last Update Date | 2022-01-02 |