| NPI | 1275733016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G071045) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA G071045) |
| 2086X0206X Surgery, Surgical Oncology (Licence: SC 30439) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 256245) | |
| 207Q00000X Family Medicine (Licence: CA G071045) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2014-12-16 |