| NPI | 1316118797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MA 240034) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 218143) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX M9981) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2012-05-15 |