| NPI | 1518014489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: KY 43088) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 43088) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TN 0000039695) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-12-09 |