| NPI | 1235524554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301509186) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 291284) |
| 2086X0206X Surgery, Surgical Oncology (Licence: MA 291284) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2023-08-21 |