| NPI | 1790156354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35133138) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IL 125.067910) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2018-03-06 |