| NPI | 1386665974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: WI 59874) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G084134) |
| 208600000X Surgery (Licence: MN 52707) | |
| 208600000X Surgery (Licence: WI 59874) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-11-17 |