| NPI | 1679537971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA G53346) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G53346) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-10-08 |