| NPI | 1790872596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: SC 90602) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101269950) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-01-16 |