| NPI | 1295062081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CT 56912) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2016-00307) |
| 282N00000X General Acute Care Hospital (Licence: DC md037894) | |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2018-03-17 |