| NPI | 1528012408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: SC 88681) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 047010) |
| 208600000X Surgery (Licence: NY 238858) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: CT 047010) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 238858) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-09-02 |