| NPI | 1790994572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A109409) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 89250) |
| 2086X0206X Surgery Surgical Oncology (Licence: CA A109409) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-05-28 |