| NPI | 1972759900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA OS016161) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OT012673) |
| 2086X0206X Surgery, Surgical Oncology (Licence: PA OS016161) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2018-04-10 |