| NPI | 1114218518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MI 4301502120) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301502120) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2025-10-13 |