| NPI | 1619976792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101042052) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: DC 14296) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-12-15 |