| NPI | 1043657422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: WA MD61494369) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD61494369) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA KUPSIM153QE) | |
| Enumeration Date | 2013-05-27 |
| Last Update Date | 2023-12-20 |