| NPI | 1740547066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX R0867) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: MO 2020017651) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2022-09-14 |