| NPI | 1760643126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: WI 70427) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 61463) |
| 208600000X Surgery (Licence: CA A109242) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2021-11-03 |