| NPI | 1306194402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX P9592) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: MO 2017021702) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2021-11-19 |