| NPI | 1548454259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME149067) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301085896) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2021-10-07 |