| NPI | 1801948740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: NM MD2011-0692) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM MD2011-0692) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-01-22 |