| NPI | 1639430614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 1013268) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35134532) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-02-28 |