| NPI | 1750302089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.149328) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 39597) |
| 208600000X Surgery (Licence: NC 2023-00225) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-10-02 |