| NPI | 1780793794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX P3885) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML20008319) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-12-19 |