| NPI | 1568681161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 200500169) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NC 2005-00169) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2005-00169) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-08-06 |