| 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)  | 
| 2086X0206X Surgery, Surgical Oncology (Licence: ID 6771249)  | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA KUPSIM153QE)  | |
| Enumeration Date | 2013-05-27 | 
| Last Update Date | 2025-07-24 |