| NPI | 1083858542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN 63561) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR 170742) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2022-03-16 |