| NPI | 1952365876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101233171) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NH 17641) |
| 2086X0206X Surgery, Surgical Oncology (Licence: MA 266768) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2016-06-22 |