| NPI | 1285615567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NC 2012-01935) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA C154676) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CT 037803) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2018-04-18 |