| NPI | 1023019635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX K7847) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 13379R) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX K7847) | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2025-02-18 |