| NPI | 1285843235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD60027943) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R6805) |
| 208600000X Surgery (Licence: IA 37335) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: IA 37335) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: WA MD60027943) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-09-04 |