| NPI | 1336328194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A95898) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME110286) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2014-11-17 |