| NPI | 1730297052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WA MD60026202) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60026202) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2011-09-26 |