| NPI | 1326149857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 73694) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35057460) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-11-04 |