| NPI | 1245342625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 50982) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M1318) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-05-16 |