| NPI | 1255310801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 049071) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 38398) |
| 2086X0206X Surgery, Surgical Oncology (Licence: KY 38398) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2012-01-20 |