| NPI | 1477736478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: WI 74404) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 74404) |
| 2086X0206X Surgery Surgical Oncology (Licence: NY 286863) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2021-03-18 |