| NPI | 1962669978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX Q5792) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP1-0032094) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2016-01-25 |