| NPI | 1700176856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL me131560) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TBD) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2022-07-21 |