| NPI | 1104977768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AR E-15273) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 0426190) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2026-07-06 |