| NPI | 1023302973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A141895) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A141895) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT AS2383278-0786) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-04-19 |