| NPI | 1568756138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME143273) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME143273) |
| 208600000X Surgery (Licence: TX R4261) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX R4261) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2022-01-27 |