| NPI | 1861465437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX 44315) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 223747) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2014-03-26 |