| NPI | 1568596963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX N1354) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX N1354) |
| 208600000X Surgery (Licence: GA 059085) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-10-07 |