| NPI | 1770787566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 77806) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX N4832) |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX N4832) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX N4832) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2023-01-18 |