| NPI | 1548416563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: MI 4301107429) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301107429) |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2021-03-10 |