| NPI | 1699963678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A101388) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX P7360) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2024-01-16 |