| NPI | 1316141955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: WI 50679) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 044456) |
| 2086S0120X Surgery Pediatric Surgery (Licence: WI 50679) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-09-09 |