| NPI | 1780733006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 102373) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA A48623) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2015-04-16 |