| NPI | 1295725794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 74430) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 223910) |
| 208600000X Surgery (Licence: CT 044471) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX 43694) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2023-09-27 |