| NPI | 1497856405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 68493-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 68493-20) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-01-04 |