| NPI | 1407269111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 74949) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036151858) |
| 208600000X Surgery (Licence: MI 4301105819) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: IL 4301105819) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2021-09-01 |