| NPI | 1922393669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX T2426) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: MA 271804) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2023-10-11 |