| NPI | 1083742662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX M9438) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M9438) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2022-05-20 |