| NPI | 1730490541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX Q4972) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2010020471) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2017-04-10 |