| NPI | 1639150915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA C154958) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: NC 2012-01934) |
| 208600000X Surgery (Licence: CA C154958) | |
| 2086X0206X Surgery Surgical Oncology (Licence: CT 040397) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2022-10-26 |