| NPI | 1346277589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD062175L) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M6401) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX M6401) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-07-27 |