| NPI | 1679620546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MI 4301108954) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301108954) |
| 208600000X Surgery (Licence: TN MD0000041391) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-10-20 |