| NPI | 1104951508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C50558) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: CA C50558) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2024-04-29 |