| NPI | 1710982491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CT 023673) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 023673) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2021-06-23 |