| NPI | 1356562094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 008870) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA OS-010803-L) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-12-30 |