NPI | 1306050547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CT 074138) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD430280) |
208600000X Surgery (Licence: FL ME126283) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2023-05-09 |