| NPI | 1942377536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX P2226) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI MD-13597) |
| 208600000X Surgery (Licence: TX P2226) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-07-02 |