| NPI | 1740444769 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: ME MD19051) | 
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD432126) | 
| Enumeration Date | 2008-07-18 | 
| Last Update Date | 2012-02-10 |