| NPI | 1497132096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: LA 327743) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2020-01009) |
| 208600000X Surgery (Licence: LA 327743) | |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2022-05-27 |