| NPI | 1053764522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD215382) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60624254) |
| 2086X0206X Surgery, Surgical Oncology (Licence: WA MD60624254) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2023-08-08 |