| NPI | 1245410547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN 50400) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC 120532) |
| 208600000X Surgery (Licence: MA 246060) | |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2013-09-11 |