| NPI | 1003131012 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX Q0571) | 
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP1-0036594) | 
| 208600000X Surgery (Licence: TX Q0571) | |
| Enumeration Date | 2010-04-01 | 
| Last Update Date | 2022-07-29 |