| NPI | 1023338688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN 59953) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT197293) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2021-04-19 |