| NPI | 1831288596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: MA 273553) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: TX M1941) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-04-10 |