| NPI | 1932306479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101261647) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-095761) |
| 2086X0206X Surgery, Surgical Oncology (Licence: WV 22574) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-12-11 |