| NPI | 1871683441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA C53677) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-3833) |
| 208600000X Surgery (Licence: TN 37111) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101234976) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-08-10 |