| NPI | 1518303106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: LA 338603) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10046338) |
| 208600000X Surgery (Licence: FL ME150518) | |
| 208600000X Surgery (Licence: LA 338603) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2023-10-05 |