| NPI | 1508871013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OR MD25424) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD25424) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-01-13 |