| NPI | 1699801019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MA 259762) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-228277) |
| 208600000X Surgery (Licence: TX N9679) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-06-26 |