| NPI | 1891774592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: LA MD202407) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD429555) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA A75697) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2008-11-26 |