| NPI | 1902864135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301505576) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35079593) |
| 2086X0206X Surgery, Surgical Oncology (Licence: MN 59273) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: WI 56090) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: OH 35-079593) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-11-22 |