| NPI | 1578858445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MA 281129) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD464378) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2020-11-03 |