| NPI | 1497714786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: LA 322386) |
| Additional Taxonomies | 208600000X Surgery (Licence: WV 21250) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-05-13 |