| NPI | 1376987289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME150274) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME150274) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2021-08-27 |