| NPI | 1518259431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: VA 101262899) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 101262899) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2022-02-10 |