NPI | 1275752578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 66205) |
Additional Taxonomies | 208600000X Surgery (Licence: TX P5611) |
208600000X Surgery (Licence: OH 57012026) | |
2086X0206X Surgery, Surgical Oncology (Licence: TX P5611) | |
Enumeration Date | 2007-04-25 |
Last Update Date | 2016-12-12 |