| NPI | 1073556023 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: DC 192527) | 
| Additional Taxonomies | 208600000X Surgery (Licence: TN 25969) | 
| 208600000X Surgery (Licence: DC 19527) | |
| Enumeration Date | 2006-06-14 | 
| Last Update Date | 2023-10-16 |