| NPI | 1851615660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MD D86022) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R2429) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2018-09-19 |