| NPI | 1942357496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 53269) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT188433) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CT 53269) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2018-12-05 |